One-stage corpectomy for the serious spinal cord compression from vertebral tuberculosis in the absence of neurologic deficits
- VernacularTitle:临床症状轻微型重度结核性脊髓压迫症
- Author:
Ping ZHEN
;
Xingyan LIU
;
Mingxuan GAO
- Publication Type:Journal Article
- Keywords:
spinal tuberculosis;
spinal cord compression;
debridement;
bone grafting;
internal fixation
- From:
Orthopedic Journal of China
2006;0(19):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective] To study the mechanism and clinic characteristic to the serious spinal cord compression from vertebral tuberculosis in the absence of nenrologic deficits.[Method]A total of 15 patients with serious spinal cord compression from vertebral tuberculosis in the absence of neurologic deficits were treated by one-stage debridement,lilac grafting and internal fixation.The clinical characters were retrospectively analyzed.[Result]All these patients had no sinus formation and no recurrence of spinal tuberculosis during average the follow-up of 3.8 years(range:6 months to 7 years).In 5 cases with incomplete paraplegia,3 cases improved 2 grades,1 case was no change and 1 case became serious.[Conclusion]The serious spinal cord compression from vertebral tuberculosis in the absence of neurologic deficits has a long history in illness,the spinal cord is in crisis condition even it can get adjustment by itself.The early one-stage treatment of debridement,iliac grafting and internal fixation can guarantee the restore the spinal cord and spine stability.
